Provider Information for 1053059535
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ARRAS DARIUS KHALEDI
Sex: Male
NPI: 1053059535
Last Updated: 2024-09-23
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053059535 | ||||||||
| Enumeration Date | 2022-05-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 404 FOREST MEADOW DR COLLEYVILLE, TX 76034-1175 United States Phone: 919-816-7801 | Fax: | ||||||||
| Primary Practice Address | 404 FOREST MEADOW DR COLLEYVILLE, TX 76034-1175 United States Phone: 919-816-7801 | Fax: | ||||||||
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